View Entire Collection
By Clinical Topic
Diabetes – Summer 2012
Future of Nursing Initiative
Heart Failure - Fall 2011
Influenza - Winter 2011
Nursing Ethics - Fall 2011
Trauma - Fall 2010
Traumatic Brain Injury - Fall 2010
Fluids & Electrolytes
TUESDAY, Nov. 8 (HealthDay News) -- Patients undergoing spine surgery have high rates of vitamin D inadequacy (<30 ng/mL) and deficiency (<20 ng/mL), according to a study presented at the annual meeting of the North American Spine Society, held from Nov. 2 to 5 in Chicago.
Geoffrey E. Stoker, from Washington University in St. Louis, and colleagues examined preoperative vitamin D levels in 313 patients undergoing spine surgery to determine rates of inadequacy and deficiency. A total of 260 patients with spondylosis, 99 with spinal deformity, and 73 revision cases were selected between January 2010 and March 2011. Serum 25-hydroxyvitamin D levels were measured, and risk factors for vitamin D deficiency were evaluated.
The investigators found that the rate of vitamin D inadequacy was 57 percent, and the rate of deficiency was 27 percent. The vitamin D-deficient subset had significantly higher rates of smoking, dark skin tone, and lower age, with no gender differences. Significant predictors of deficiency on multivariate analysis included increasing body mass index and Neck and Oswestry Disability Index scores, and lack of prior vitamin D and/or supplementation with multivitamins. Compared with patients without vitamin supplementation, those with prior supplementation were significantly older, and more likely to be at least 50 years of age.
"This cross-sectional investigation exposed an alarming prevalence of preoperative vitamin D abnormality in adults undergoing spinal fusion," the authors write.
Sign up for our free enewsletters to stay up-to-date in your area of practice - or take a look at an archive of prior issues
Join our CESaver program to earn up to 100 contact hours for only $34.95
Explore a world of online resources
Back to Top